COMMISSION ON ELECTIONS Form SCE-P

DATE OF ELECTION May 09, 2016 Statement of Contributions & Expenditures (Party)

PART A: PERSONAL INFORMATION OF THE PARTY & ITS TREASURER

A.1. RTY TREASURER'S NAME:
(SURNAME) (FIRST NAME) (MIDDLE NAME)

A.2. PARTY TYPE: PARTY-LIST ORGANIZATION

(Use "X" in appropriate box) POLITICAL PARTY
A.3. NAME OF PARTY:
(COMPLETE NAME OF THE PARTY) (ACRONYM)
A.4. CONSTITUTENCY OF THE POLITICAL PARTY: (Indicate "NA" if not applicable, as in the case of national parties or certain party-list groups)

(DISTRICT) Indicate "LONE" if only 1 (CITY/MUNICIPALITY) (PROVINCE/REGION)

A.5. CONTACT DETAILS OF PARTY: MOBILE/PHONE NOS.:

E-MAIL ADDRESS:
A.6. PERMANENT ADDRESS OF PARTY:
(HOUSE NO./UNIT) (NAME OF BUILDING/SUBDIVISION) (STREET NAME)

(BARANGAY) (DISTRICT/AREA) (CITY/MUNICIPALITY) (PROVINCE)

A.7. Taxpayer Identification No. (TIN) (Refers to the TIN of the party itself & NOT the personal TIN of party treasurer)

PART B: CONTRIBUTIONS RECEIVED (Itemized entries in Form SCR, indicate "0.00" if none received)
B.1. CASH CONTRIBUTIONS RECEIVED FROM OTHER SOURCES/NON-MEMBERS: ₱0.00
B.2. IN-KIND CONTRIBUTIONS RECEIVED FROM OTHER SOURCES/NON-MEMBERS: ₱0.00
B.3. CASH CONTRIBUTIONS RECEIVED FROM PARTY MEMBERS: ₱0.00
B.4. IN-KIND CONTRIBUTIONS RECEIVED FROM PARTY MEMBERS: ₱0.00
TOTAL CONTRIBUTIONS RECEIVED ₱0.00

PART C: EXPENDITURES INCURRED (Itemized entries in Form SOE)

C.1. EXPENDITURES PAID OUT OF PARTY FUNDS (EXISTING OR MEMBER CONTRIBUTIONS):
C.2. EXPENDITURES PAID OUT OF CASH CONTRIBUTIONS FROM OTHER SOURCES/NON-MEMBERS:
C.3. EXPENDITURES INCURRED USING IN-KIND CONTRIBUTIONS FROM MEMBERS:
C.4. EXPENDITURES INCURRED USING IN-KIND CONTRIBUTIONS FROM OTHER SOURCES:
TOTAL EXPENDITURES INCURRED ₱0.00

PART D: CERTIFICATION & ACKNOWLEDGMENT

The undersigned party treasurer, after being duly sworn to, hereby depose and state that:
(1) This Statement and its attached Schedules, which are supported by receipts, vouchers, and other documents reflecting the full,
true, accurate, and complete contributions received and expenditures incurred by the party and its duly authorized representative;
(2) The expenditures incurred are for lawful purposes and the contributions were not received from persons or entities prohibited by
law to give contributions.

IN WITNESS WHEREOF, the undersigned hereunto affix his/her signature on [date signed].

AFFIX SIGNATURE
HERE 

SUBSCRIBED AND SWORN TO before me on date notarized , affiant exhibiting his/her

issued by expiring on [date of expiry].
(Type of identification document) (ID Number) (Government Agency issuing the ID)

Doc. No.:
Page No.:
Book No.:
Series of (Place Notarial Seal & Signature here)

THIS SECTION IS FOR COMELEC USE ONLY - DO NOT ENCODE / WRITING ANYTHING BEYOND THIS LINE
Indicate "✓" beside form code/document name if submitted, "✗" if not.
☐ SCR (Sched of Contributions Rcvd) ☐ Contribution Receipts
☐ SOE (Sched of Expenditures) ☐ Expenditure Receipts
☐ SUO (Sched of Unpaid Obligations) ☐ Obligations Payable
☐ SLE (Sum. Report of Lawful Exp.) NO. OF PAGES: _________
☐ Others: pls. specify: (This space is for the receiving date/time stamp of the receiving office)
COMMISSION ON ELECTIONS Form SCR-P
DATE OF ELECTIONS May 09, 2016 Schedule of Contributions Received (Party)
NAME OF PARTY: PARTY'S TIN: 0
(COMPLETE NAME OF PARTY) (ACRONYM)

DATE RECEIPT FULL NAME OF Contribution TYPE & DESCRIPTION Contributor's AMOUNT/VALUE OF
ADDRESS OF CONTRIBUTOR
RECEIVED NUMBER CONTRIBUTOR SOURCE (for in-kind contributions) TIN CONTRIBUTION

TOTAL CONTRIBUTIONS RECEIVED ₱0.00

CERTIFICATION ACKNOWLEDGMENT
SUBSCRIBED AND SWORN TO BEFORE ME this [date of oath]
I hereby certify that: (1) the contributions listed above were made to me as party affiant exhibiting his/her 0 0
treasurer; (2) all entries specified above are true & correct; (3) they are supported by
the official receipts issued by me upon acceptance; (4) the contributions are from issued by the [issuing office] expiring on [date of expiry].
sources not prohibited by the Omnibus Election Code and other pertinent laws.
Doc. No. ________;
Page No. ________;
Book No. ________;
DATE SIGNED Series of ________. NOTARY PUBLIC
COMMISSION ON ELECTIONS Form SOE-P
DATE OF ELECTIONS May 09, 2016 Schedule of Expenditures (Party)

NAME OF PARTY: PARTY'S TIN: 0

(COMPLETE NAME OF PARTY) (ACRONYM)

DATE RECEIPT FULL NAME of BUSINESS ADDRESS OF BUSINESS FIRM TIN OF CONTRACTOR DESCRIPTION Exp Type AMOUNT/VALUE OF
INCURRED NUMBER FIRM OR CONTRACTOR OR CONTRACTOR or BUSINESS FIRM (if contributions are in-kind) (A-K) EXPENDITURE

TOTAL EXPENDITURES INCURRED ₱0.00

CERTIFICATION ACKNOWLEDGMENT
SUBSCRIBED AND SWORN TO BEFORE ME this [date of oath]
I hereby certify that: (1) the expenses listed above were incurred by me as party treasurer or by
affiant exhibiting his/her 0 0
my duly authorized representative/s; (2) all entries specified above are true & correct; (3) they
are supported by the official receipts, invoices or other similar documents; (4) the expenses issued by the [issuing office] expiring on [date of expiry].
comply with Section 102 of the Omnibus Election Code.
Doc. No. ________;
Page No. ________;
Book No. ________;
DATE SIGNED Series of ________. NOTARY PUBLIC
COMMISSION ON ELECTIONS Form SLE-P
DATE OF ELECTION May 09, 2016 Summary Report of Lawful Expenditures (Party)

PART A: PERSONAL INFORMATION OF THE PARTY & ITS TREASURER

A.1. PARTY TREASURER'S NAME: 0 0 0
(SURNAME) (FIRST NAME) (MIDDLE NAME)

A.2. PARTY TYPE: PARTY-LIST ORGANIZATION

(Use "X" in appropriate box)
POLITICAL PARTY

A.3. NAME OF PARTY: 0 0

(COMPLETE NAME OF THE PARTY) (ACRONYM)
A.4. CONSTITUTENCY OF THE POLITICAL PARTY: (Indicate "NA" if not applicable, as in the case of national parties or certain party-list groups)

0 0 0
(DISTRICT) Indicate "LONE" if only 1 (CITY/MUNICIPALITY) (PROVINCE/REGION)

A.5. Taxpayer Identification No. (TIN) 0 (Refers to the TIN of the party itself & NOT the personal TIN of party treasurer)

PART B: SUBTOTAL OF LAWFUL EXPENDITURES PER EXPENSE TYPE/CATEGORY

A Travel expenses of party's candidates & campaign personnel during the campaign & incidental personal expenses ₱0.00

B Compensation of campaigners, clerks, stenographers, messengers, & other persons employed in the campaign ₱0.00

C Telephone, mobile phone usage fees, prepaid phone load, internet access, postages, freight & courier charges ₱0.00

D Stationery, printing & distribution of printed materials relative to candidacy; ₱0.00

E Employment of watchers at the polls ₱0.00

F Rent, maintenance & furnishing of campaign headquarters, office or place of meetings ₱0.00

G Political meetings & rallies & the use of sound systems, lights & decorations during said meetings & ₱0.00

H Newspaper, radio, TV & other advertisements to promote the candidacy, including website/internet ad placements ₱0.00

SUBTOTAL ₱0.00

PART C: EXPENDITURES INCURRED (Itemized entries in Form SOE)

I Employment of counsel ₱0.00

J Copying & classifying lists of voters, investigating & challenging the right to vote of persons registered in the lists ₱0.00

K Printing of sample ballots in such color, size & maximum number as may be authorized by the Commission ₱0.00

TOTAL EXPENDITURES INCURRED ₱0.00

PART D: CERTIFICATION & ACKNOWLEDGMENT

The undersigned
(1) This Statementparty
and treasurer, after
its attached being duly
Schedules, sworn
which areto,supported
hereby depose and state
by receipts, that: and other documents reflecting the full,
vouchers,
true, accurate, and complete contributions received and expenditures incurred by the undersigned candidate and his/her duly
authorized representative;
(2) The expenditures incurred are for lawful purposes and the contributions were not received from persons or entities prohibited by
law to give contributions.

IN WITNESS WHEREOF, the undersigned hereunto affix his/her signature on [date signed].

AFFIX SIGNATURE
HERE 
000

SUBSCRIBED AND SWORN TO before me on Date Notarized , affiant exhibiting his/her

, issued by expiring on [date of expiry].
(Type of identification document) (ID Number) (Government Agency issuing the ID)

Doc. No.:
Page No.:
Book No.:
Series of (Place Notarial Seal & Signature here)
COMMISSION ON ELECTIONS Form SUO-P
DATE OF ELECTIONS May 09, 2016 Schedule of Unpaid Obligations (Party)
NAME OF PARTY: PARTY'S TIN: 0
(COMPLETE NAME OF PARTY) (ACRONYM)

DATE Contract / Loan NAME OF CREDITOR ADDRESS OF CREDITOR Taxpayer ID No. (TIN) of Description of the Obligation Purpose (for incurring AMOUNT/VALUE OF
INCURRED No. CREDITOR (i.e. loan, etc.) obligation) OBLIGATION

TOTAL UNPAID OBLIGATIONS ₱0.00

CERTIFICATION ACKNOWLEDGMENT
SUBSCRIBED AND SWORN TO BEFORE ME this [date of oath]
I hereby certify that: (1) the obligations listed above were incurred by me in my capacity
affiant exhibiting his/her 0 0
as party treasurer or with my authority by my duly authorized representative; (2) all
entries specified above are true & correct; (3) they are supported by contracts, issued by the [issuing office] expiring on [date of expiry].
promissory notes & other similar documents.
Doc. No. ________;
Page No. ________;
Book No. ________;
DATE SIGNED Series of ________. NOTARY PUBLIC